SBA FOR CVS MODULE

1. A 68-year-old man presents to the emergency department with acute heart failure. You
decide that this patient requires immediate drug therapy to improve his cardiac function.
Which one of the following drugs would be most benefit?
A. Albuterol B. Dobutamine C. Epinephrine D. Norepinephrine (MGE)

2. Which one of the following drugs may cause a perceptions fall in blood pressure and fainting
on initial administration?
A. metoprolol B. methyldopa C. Chlorthalidone
D. prazosin E. amlodipine (UM1)

3. A 50 years old man complained of tightness of chest and difficulty in breathing after injection
of vitamin B complex. His blood pressure was 80/50 mmHg. Which one of the followings is a
drug of choice in anaphylactic reaction of this patient associated with bronchospasm and
hypotension? (UM1)
A. hydrocortisone B.noradrenaline C. adrenaline
D. albuterol E.isoproterenol

(4) Which one of the following drugs would be most useful for 45 year old man who has
recently been diagnosed as hypertension with diabetes mellitus.
A.Enalapril B.Propranolol C.Nifedipine D.Hydrochlorothiazide (MDY)

(5) An alcoholic male patient has developed hepatic cirrhosis. In order to control the ascites and
oedema, which one of the followings is prescribed for him?
A.Chlorthalidone B.Acetazolamide C.Sprionolactone D.Frusemide (MDY)

(6) An old man with coronary heart disease is needed to add a drug to prevent recurrent attack.
(UM 1)
A. Heparin IV B. Aspirin 80mg oral once a day
C. Aspirin 300mg oral twice a day D. warfarin orally

(7). Which one of the following is recommended for a man 50 years old hypertensive patient
with diabetes mellitus (UMM)
(A) Atenolol (B) Amoldipine (C) Hydrochlorothiazide (D) Enalapril

(8) A man complaint of chest pain radiating to left shoulder, which has been occurring
frequently. He is diagnosed as ischemic heart disease (IHD) after thorough investigation. Which
of the following drug is apporopriate to prevent IHD ?
A. atropine B. amlodipine C. digoxin D. isosorbide dinitrate

(9) A child requires multiple minor surgical procedures in the nasopharynx. Which drug has high
surface local anesthetic activity and intrinsic vasoconstrictor actions that reduce bleeding in
mucous membranes? (UM1)
A. Epinephrine C. Amphetamine E. Norepinephrine
B. Cocaine D. Isoproterenol
SBA FOR CVS MODULE

10. Which one of following drugs should not be used in treatment of exertional angina?
A. Verapamil B. Nitroglycerine C. Atenolol D. Nifedipine

11. A 45-year-old man has recently been diagnosed as hypertension with heart failure. Which
one of the following drugs should be avoided?
A. Enalapril B. Losartan C. Hydrochlorothiazide D. Verapamil

(12) A 68-year-old man has been successfully treated for exercise-induced angina for several
years. He recently has been complaining about being awakened at night with chest pain. Which
of the following drugs would be useful in preventing this patient's nocturnal angina?
Amyl nitrite B. Nitroglycerin (sublingual) C. Nitroglycerin(transdermal) D. Esmolol

(13) Which one of the following drug is most appropriate for both hypertension and
arrhythmia? (MGE)
A. Atenolol B. Amlodipine C. Losartan D. Hydrochlorothiazide E. Enalapril

(14). A man with heart block requires therapy to prevent angina attack. Which drug should be
used in this patient?
A. Verapamil B. Nifedipine C. Isosorbide mononitrate D. Propranolol

(15) A 45-year-old man has recently been diagnosed with hypertension and started on
monotherapy designed to reduce peripheral resistance and prevent NaCI and water retention.
He has developed a persistent cough. Which of the following drugs would have the same
benefits but would not cause cough?
A. Losartan B. Nifedipine C. Prazosin D. Propranolol

(16) A boy woman complains of acute central chest pain after strenuous work. She is a known
case of typical angina. Which of the followings is the most suitable for relieving acute angina
pain?
A. Isosobide dinitrate orally C. Verapamil orally
B. Glyceryl trinitrate sublingually D. Amlodipine orally

(17) A woman develops anaphylactic shock a few minutes after Intramuscular (IM) injection
penicillin. Which of the followings should be recommended for this patient?
A. Adrenaline IM., Hydrocortisone IM, Chlorpheniramine IV
B. Adrenaline IV., Hydrocortisone IV, Chlorpheniramine IV
C. Adrenaline IV., Hydrocortisone IM, Chlorpheniramine IM
D. Adrenaline IM., Hydrocortisone IV, Chlorpheniramine IV
SBA FOR CVS MODULE

1. A 38-year-old male has recently started monotherapy all the time for mild hypertension. At
his most recent office visit, he complains of tiredness and not being able to complete
three sets of tennis. Which one of the following drugs is he most likely to be taking for
hypertension?
A. Albuterol
B. Atenolol
C. Ephedrine
D. Phentolamine
E. Prazosin

2. A 60-year-old asthmatic man comes in for a checkup and complains that he is having some
difficulty in "starting to urinate." Physical examination indicates that the man has a blood
pressure of 160/100 mm Hg and a slightly enlarged prostate. Which of the following
medications would be useful in treating both of these conditions?
A. Doxazosin
B. Labetalol
C. Phentolamine
D. Propranolol
E. lsoproterenol

3. Compensatory increases in heart rate and rennin release that occur in heart failure may be
alleviated by which of the following drugs?
A. Milrinone
B. Digoxin
C. Dobutamine
D. Enalapril
E. Metoprolol

4 .A 58-year-old man is admitted to the hospital with acute heart failure and pulmonary edema.
Which one of the following drugs be most useful in the pulmonary edema?
A. Digoxin
B. Dobutamine
C. Furosemide
D. Minoxidil
E. Spironolactone

5 .A 66-year-old man had a myocardial infarct. Which one of the following would appropriate
prophylactic antiarrhythmic therapy?
A. Lidocaine
B. Metoprolol
C. Procainamide
D. Quinidine
E. Verapamil
SBA FOR CVS MODULE

6. A 57-year-old man is being treated for an atrial arrhythmia. He complains of headache,

dizziness,and tinnitus. Which one of the following antiarrhythmic drugs is the most likely
cause?
A. Amiodarone
B. Procainamide
C. Propranolol
D. Quinidine
E. Verapamil

7. A 58-year-old woman is being treated for chronic suppression of a ventricular arrhythmia.

After two months of therapy, she complains about feeling tired all the time. Examination
reveals a resting heart rate of ten beats per minute lower than her previous rate. Her skin is
cool and clammy. Laboratory test results indicate low thyroxin and elevated thyroid-stimulating
hormone levels. Which of the following antiarrhythmic drugs is the likely cause of these signs
and symptoms?
A. Amiodarone
B. Procainamide
C. Propranolol
D. Quinidine
E. Verapamil

8.A 56-year-old patient complains of chest pain following any sustained exercise. He is
diagnosed with atherosclerotic angina. He is prescribed sublingual nitroglycerin for treatment
of acute chest pain. Which of the following adverse effects is likely to be experienced by this
patient?
A. Hypertension
B. Throbbing headache
C. Bradycardia
D. Sexual dysfunction
E. Anemia

9.A 68-year-old man has been successfully treated for exercise-induced angina for several
years. He recently has been complaining about being awakened at night with chest pain. Which
of the following drugs would be useful in preventing this patient's nocturnal angina?
A. Amyl nitrite
B. Nitroglycerin (sublingual)
C. Nitroglycerin (transdermal)
D. Esmolol
E. Hydralazine
SBA FOR CVS MODULE

10.Which one of the following drugs may cause a precipitous fall in blood pressure and fainting
on initial administration?
A. Atenolol
B. Hydrochlorothiazide
C. Nifedipine
D. Prazosin
E. Verapamil

11.Which one of the following antihypertensive drugs can precipitate a hypertensive crisis
following abrupt cessation of therapy?
A. Clonidine
B. Diltiazem
C. Enalapril
D. Losartan
E. Hydrochlorothiazide

12.An elderly patient with a history of heart disease and who is having difficulty breathing is
brought into the emergency room. Examination reveals that she has pulmonary edema. Which
of the following treatments is indicated?
A. Spironolactone
B. Furosemide
C. Acetazolamide
D. Chlorthalidone
E. Hydrochlorothiazide

13.A group of college students is planning a mountain climbing trip to the Andes. Which of the
following drugs would be appropriate for them to take to prevent mountain sickness?
A. A thiazide diuretic
B. An anti-cholinergic
C. A carbonic anhydrase inhibitor
D. A loop diuretic
E. A Beta-blocker

14. An alcoholic male has developed hepatic cirrhosis. In order to control the ascites and
edema, he is prescribed which one of the following?
A. Hydrochlorothiazide
B. Acetazolamide
C. Spironolactone
D. Furosemide
E. Chlorthalidone
SBA FOR CVS MODULE

15. A 55-year-old male with kidney stones has been placed on a diuretic to decrease calcium
excretion. However, after a few weeks, he develops an attack of gout. Which diuretic was he
taking?
A. Furosemide
B. Hydrochlorothiazide
C. Spironolactone
D. Triamterene

16.Which one of the following is the most common side effect of antihyperlipidemic drug
therapy?
A. Elevated blood pressure
B. Gastrointestinal disturbance
C. Neurologic problems
D. Heart palpitations
E. Migraine headaches

17.A 68-year-old man presents to the emergency department with acute heart failure. You
decide that this patient requires immediate drug therapy to improve his cardiac function.
Which one of the following drugs would be most beneficial?
A. Albuterol
B. Dobutamine
C. Epinephrine
D. Norepinephrine
E. Phenylephrine

18.Remedies for nasal stuffiness often contain which one of the following drugs?
A. Albuterol
B. Atropine
C. Epinephrine
D. Norepinephrine
E. Phenylephrine

19.Which one of the following drugs, when administered intravenously, can decrease blood
flow to the skin, increase blood flow to skeletal muscle, and increase the force and rate of
cardiac contraction?
A. Epinephrine
B. isoproterenol
C. Norepinephrine
D. Phenylephrine
E. Terbutaline